Corewell Health Butterworth Hospital
100 Michigan St Ne, Grand Rapids, MI · Corewell Health · · NPI 1922090554
Published prices by procedure
Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.
| Procedure | Cash price | Gross charge | Negotiated range | Payers |
|---|---|---|---|---|
| Clsd tx clavicle dislocation without manip 23540 CPT 23540 | not published | not published | $193.40 – $442.40 | 4 |
| Clsd tx clavicle fracture w/manip 23505 CPT 23505 | not published | not published | $945.14 – $2,883.98 | 4 |
| Clsd tx/clavicular fx without manip 23500 CPT 23500 | $497.00 | $497.00 | $193.40 – $442.40 | 4 |
| Clsd tx coccygeal fracture 27200 CPT 27200 | not published | not published | $186.30 – $442.40 | 4 |
| Clsd tx/dis phalan fx without manip/ea 26750 CPT 26750 | $288.00 | $288.00 | $193.40 – $442.40 | 4 |
| Clsd tx dist fib fx w/manip 27788 CPT 27788 | $616.00 | $616.00 | $193.40 – $442.40 | 4 |
| Clsd tx/dis tib/wt bear no manip 27824 CPT 27824 | $426.00 | $426.00 | $193.40 – $442.40 | 4 |
| Clsd tx elbow dislocation child 24640 CPT 24640 | $578.00 | $578.00 | $123.34 – $442.40 | 4 |
| Clsd tx/fem shaft fx/manipulation 27502 CPT 27502 | $3,497.00 | $3,497.00 | $1,245.60 – $2,883.98 | 4 |
| Clsd tx finger tendon w/wo perq pin 26432 CPT 26432 | not published | not published | $1,602.21 – $2,883.98 | 4 |
| Clsd tx fracture of radius 25500 CPT 25500 | $381.00 | $381.00 | $193.40 – $442.40 | 4 |
| Clsd tx/fx grt toe/phalanx/phalang 28490 CPT 28490 | $240.00 | $240.00 | $182.41 – $442.40 | 4 |
| Clsd tx/fx/phalanx/phalang/manip 28515 CPT 28515 | $638.00 | $638.00 | $245.78 – $442.40 | 4 |
| Clsd tx fx radius/ulna dist without manip 25600 CPT 25600 | $421.00 | $421.00 | $193.40 – $442.40 | 4 |
| Clsd tx fx radius/ulna dist w/manip 25605 CPT 25605 | $1,931.00 | $1,931.00 | $945.14 – $2,883.98 | 4 |
| Clsd tx fx radius/ulna without manip 25560 CPT 25560 | $459.00 | $459.00 | $193.40 – $442.40 | 4 |
| Clsd tx fx radius/ulna w/manip 25565 CPT 25565 | $1,593.00 | $1,593.00 | $283.36 – $2,883.98 | 4 |
| Clsd tx/grt hum tube fx without manip 23620 CPT 23620 | $428.00 | $428.00 | $193.40 – $442.40 | 4 |
| Clsd tx hip disloc without anes 27265 CPT 27265 | $578.00 | $578.00 | $193.40 – $442.40 | 4 |
| Clsd tx humeral fract without manip 24530 CPT 24530 | $518.00 | $518.00 | $193.40 – $442.40 | 4 |
| Clsd tx humerus fract without manip 24500 CPT 24500 | $373.00 | $373.00 | $193.40 – $442.40 | 4 |
| Clsd tx iphal jnt disl w/manip req anes CPT 26775 | $883.00 | $883.00 | $278.69 – $501.64 | 4 |
| Clsd tx mandibular fx without manip 21450 CPT 21450 | not published | not published | $428.37 – $967.30 | 4 |
| Clsd tx/metacar/interphal artic fx 26740 CPT 26740 | $544.00 | $544.00 | $193.40 – $442.40 | 4 |
| Clsd tx/metacarpal fx/sg without manip 26600 CPT 26600 | $580.00 | $580.00 | $193.40 – $442.40 | 4 |
| Clsd tx/metacarpal fx/sng/w manip 26605 CPT 26605 | $578.00 | $578.00 | $193.40 – $442.40 | 4 |
| Clsd tx metacarp fx w/manip&ext fix ea bone 26607 CPT 26607 | not published | not published | $1,738.83 – $5,868.42 | 4 |
| Clsd tx metatarsal fracture w/manip 28475 CPT 28475 | $428.00 | $428.00 | $193.40 – $442.40 | 4 |
| Clsd tx/metatarsal fx without manip 28470 CPT 28470 | $373.00 | $373.00 | $193.40 – $442.40 | 4 |
| Clsd tx/nasal bone fx/stabilize 21320 CPT 21320 | $4,304.00 | $4,304.00 | $1,678.74 – $5,946.37 | 4 |
| Clsd tx of ankle fracture w/manip 28435 CPT 28435 | not published | not published | $1,245.60 – $2,883.98 | 4 |
| Clsd tx patella disloc without anes 27560 CPT 27560 | $458.00 | $458.00 | $193.40 – $442.40 | 4 |
| Clsd tx/patellar fx without manip 27520 CPT 27520 | $373.00 | $373.00 | $193.40 – $442.40 | 4 |
| Clsd tx pelvic ring fx CPT 27197 | $373.00 | $373.00 | $245.78 – $442.40 | 4 |
| Clsd tx pelvic ring fx CPT 27198 | $915.00 | $915.00 | $245.78 – $442.40 | 4 |
| Clsd tx prox fib/shaft fx w/manip 27781 CPT 27781 | $1,593.00 | $1,593.00 | $945.14 – $2,883.98 | 4 |
| Clsd tx/prox/mid phalnx fx/no manp 26720 CPT 26720 | $412.00 | $412.00 | $193.40 – $442.40 | 4 |
| Clsd tx/radial head/neck fx/no manip 24650 CPT 24650 | $648.00 | $648.00 | $193.40 – $442.40 | 4 |
| Clsd tx radius fracture w/manip 24655 CPT 24655 | $1,593.00 | $1,593.00 | $283.36 – $2,883.98 | 4 |
| Clsd tx/scapular fx without manip 23570 CPT 23570 | $800.00 | $800.00 | $193.40 – $442.40 | 4 |
| Clsd tx shoulder dislc/fx 23665 CPT 23665 | $1,931.00 | $1,931.00 | $945.14 – $2,883.98 | 4 |
| Clsd tx shoulder disloc w/anatom neck fx w/manip 23675 CPT 23675 | $1,593.00 | $1,593.00 | $283.36 – $2,883.98 | 4 |
| Clsd tx/shoulder dislo/manip/anest 23655 CPT 23655 | $3,115.00 | $3,115.00 | $1,245.60 – $2,883.98 | 4 |
| Clsd tx/talotarsal dislocat/anes 28575 CPT 28575 | not published | not published | $1,738.83 – $5,868.42 | 4 |
| Clsd tx temporomandibular dislocat 21480 CPT 21480 | $388.00 | $388.00 | $171.91 – $442.40 | 4 |
| Clsd tx toe dislocation without anes28660 CPT 28660 | $458.00 | $458.00 | $122.06 – $442.40 | 4 |
| Clsd tx trimall ankle fx without manip 27816 CPT 27816 | $535.00 | $535.00 | $193.40 – $442.40 | 4 |
| Clsd tx trimall ankle fx w/manip 27818 CPT 27818 | $1,640.00 | $1,640.00 | $945.14 – $2,883.98 | 4 |
| Clsd tx/ulnar shaft fx without manip 25530 CPT 25530 | $426.00 | $426.00 | $193.40 – $442.40 | 4 |
| Clsd tx vert body fx without manip req &w/csting/bracing CPT 22310 | not published | not published | $193.40 – $442.40 | 4 |
| Clsd tx wrist carpal fx without manip 25630 CPT 25630 | $428.00 | $428.00 | $193.40 – $442.40 | 4 |
| Clsd tx wrist scaphoid fx without manip 25622 CPT 25622 | $498.00 | $498.00 | $193.40 – $442.40 | 4 |
| Clsd tx wrist trans-scaph fx w/manip 25680 CPT 25680 | not published | not published | $193.40 – $442.40 | 4 |
| Clsd tx wrist ulnar styloid fx 25650 CPT 25650 | $723.00 | $723.00 | $193.40 – $442.40 | 4 |
| Clsd/ulnar fx/prox end without manip 24670 CPT 24670 | $373.00 | $373.00 | $193.40 – $442.40 | 4 |
| Cls tx of heel fracture w/manip 28405 CPT 28405 | $490.00 | $490.00 | $193.40 – $442.40 | 4 |
| Cltx carpl scphd fx w/mnpj CPT 25624 | $4,931.00 | $4,931.00 | $945.14 – $2,883.98 | 4 |
| Cltx craniofacial separation CPT 21431 | not published | not published | $5,898.54 – $10,617.38 | 3 |
| Cltx gr hmrl tbrs fx w/mnpj CPT 23625 | not published | not published | $1,245.60 – $2,883.98 | 4 |
| Cltx hum epcndylr fx wo mnpj CPT 24560 | $435.00 | $435.00 | $193.40 – $442.40 | 4 |
| Cltx humrl cndylr fx w/mnpj CPT 24577 | $1,858.00 | $1,858.00 | $283.36 – $2,883.98 | 4 |
| Cltx humrl cndylr fx wo mnpj CPT 24576 | $507.00 | $507.00 | $193.40 – $442.40 | 4 |
| Cltx lunate dislc w/mnpj CPT 25690 | not published | not published | $1,245.60 – $2,883.98 | 4 |
| Cltx mndblr fx ntrdntl fixj CPT 21453 | $5,947.00 | $5,947.00 | $4,942.79 – $10,617.38 | 4 |
| Cltx mndblr fx w/mnpj CPT 21451 | not published | not published | $1,005.11 – $2,782.81 | 4 |
| Cltx mndblr/max alv ridge fx CPT 21440 | not published | not published | $810.05 – $5,946.37 | 4 |
| Cltx palatal/max fx wire fix CPT 21421 | not published | not published | $1,684.24 – $5,946.37 | 4 |
| Cltx post ankle fx CPT 27767 | $426.00 | $426.00 | $193.40 – $442.40 | 4 |
| Cltx post ankle fx w/mnpj CPT 27768 | $1,593.00 | $1,593.00 | $224.08 – $2,883.98 | 4 |
| Cltx scap fx w/mnpj +-tractj CPT 23575 | $4,931.00 | $4,931.00 | $283.36 – $2,883.98 | 4 |
| Cltx strnclav dislc w/mnpj CPT 23525 | not published | not published | $193.40 – $442.40 | 4 |
| Cltx thigh fx CPT 27267 | not published | not published | $1,738.83 – $5,868.42 | 4 |
| Cltx thigh fx w/mnpj CPT 27268 | not published | not published | $1,602.21 – $2,883.98 | 3 |
| Cltx tmprmand dislc comp CPT 21485 | not published | not published | $1,005.11 – $2,782.81 | 4 |
| Cmbn ant pst colprhy CPT 57260 | not published | not published | $4,304.72 – $8,972.03 | 4 |
| C motor evoked lwr limbs CPT 95929 | $1,022.00 | $1,022.00 | $251.80 – $669.27 | 4 |
| C motor evoked uppr limbs CPT 95928 | $1,927.00 | $1,927.00 | $240.88 – $1,540.17 | 4 |
| C motor evoked upr&lwr limbs CPT 95939 | $2,040.00 | $2,040.00 | $115.90 – $1,540.17 | 4 |
| Cmptr ophth dx img ant segmt CPT 92132 | not published | not published | $26.34 – $105.80 | 4 |
| Cmptr ophth img optic nerve CPT 92133 | not published | not published | $26.98 – $105.80 | 4 |
| #cms hgb-carboxyhemoglobin CPT 82376 | not published | not published | $13.37 – $25.33 | 4 |
| #cms hgb-sulfhemoglobin CPT 83060 | not published | not published | $8.36 – $20.29 | 4 |
| #cmvcul-virus inoculation shell CPT 87254 | $122.00 | $122.00 | $18.58 – $45.32 | 4 |
| Cmv ig IV CPT 90291 | not published | not published | $1,791.99 – $1,791.99 | 1 |
| Cmv pcr-sendout CPT 87496 | not published | not published | $33.34 – $86.16 | 4 |
| Cnbp gene detc abnor allele CPT 81187 | not published | not published | $130.15 – $246.60 | 4 |
| Cntct lens hydrophil photoch HCPCS V2524 | not published | not published | $171.49 – $308.68 | 3 |
| Co2 monitor per day CPT 94681 | $323.00 | $323.00 | $79.66 – $669.27 | 4 |
| Coagulation factor viia 1,000 mcg/ml inj 1 ml HCPCS J7189 | not published | not published | $2.66 – $4.78 | 4 |
| Coagulation time activated teg CPT 85347 | $25.00 | $25.00 | $4.07 – $105.31 | 4 |
| Coagulation time lee & white CPT 85345 | not published | not published | $4.46 – $10.57 | 4 |
| Coagulation time otr method CPT 85348 | not published | not published | $4.27 – $9.15 | 4 |
| Cocaine 4 % nasal solution HCPCS C9046 | not published | not published | $1.72 – $1.72 | 1 |
| Coccidioidomycosis skin test CPT 86490 | not published | not published | $68.39 – $68.39 | 1 |
| Coch imp ext proc/contr rplc HCPCS L8619 | not published | not published | $10,350.06 – $18,630.11 | 4 |
| Coch implant headset replace HCPCS L8615 | not published | not published | $555.35 – $999.63 | 4 |
| Coch implant microphone repl HCPCS L8616 | not published | not published | $129.34 – $232.81 | 4 |
| Coch implant tran cable repl HCPCS L8618 | not published | not published | $32.29 – $58.12 | 4 |
| Coch implant trans coil repl HCPCS L8617 | not published | not published | $112.98 – $203.36 | 4 |
| Cochlear implt f/up exam <7 CPT 92601 | $569.00 | $569.00 | $128.21 – $574.30 | 4 |
A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.